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2 `. CHANGE ORDER
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`. > CHANGE ORDER NO. #1
DATE: J„nP 26, 1485
PROJECT: Preparation for Playground, i .e. , ground work and excavation
PROJECT NO. /TO (CONTRACTOR) : log Rhythm Builders, Inc. i/1B -tfcrt�,1z� %5 1 ��1 eniKT ArSig_44 (r
JUSTIFICATION: /11.54-4.0/411.),L (Yti?_ i,
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You are directed to make the following changes in the work. All other terms and conditions
of the Contract not expressly modified hereby shall remain in full force and effect:
Item No. Description Est. Qty. Unit Unit Cost Amount
See Attached Proposal
The original Contract sum was ' $ 7,77s.on
Net change by previous Change orders ,$
The Contract Sum prior to this Change Order was $ 7,775.00
The Contract Sum will be (increased) (decreased) (unchanged) by this $ 3,760,00
Change Order
The Contract Sum including this Change Order will be $" 11,535.00
The new Contract Time will be (increased) (decreased) (unchanged) by
( unchanged ) Days.
The Date of Completion as of the date of this Change Order therefore is
Ac Snnn ac pnccihle ' 19
ACCEPTED BY: ORDERED BY:
RINEHART CONSTRUCTION THE BOARD OF WELD COUNTY COMMISSIONERS
CONTRACTOR
1309 32nd Avenue P.O. Box 758
Address Address
Greeley, Colorado 806_31 Greeley, Colorado 80632
By he oard
Cha an, ) '� /A'
rnllttl Page No. Jlinof Pages
RINEHART CONSTRUCTION
1309 32nd Avenue
- GREELEY, COLORADO 80631
Phone 352-3949
PROPOSAL SUBMI ED TO PHONE DATE
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STREET JOB NAME
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CITY, STATE BIND ZICODE",
e ( & er 63 i JOB OOC ION j�
ARCHITECT/S//+, (/-lGnC_ DATE OF PLANS //'T/r JOB PHONE
We!��hereby
//submit specifications and estimates`for:
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-il°kP FrupD3e hereby to furnish material and labor — complete in accordance with above specifications, for the sum of:
l� �j/ ���� //�� ���� //JJ �� -$�- y� ��jJ''
toeto C-t9'Fi"Zs�:fiYLas�il� /.G'.L-GfI j 2'CLGt opt dollars x'10 )
Pa ment to be made as follows:
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All ma rial is guaranteed to be as specified. All work to be 1pleted in a workmanlike
mann according to standard practices.Any alteration or de ation from above specifics- Aut oozed L.-e'
Lions involving extra costs will be executed only upon written orders, and will become an Signature
extra charge over and above the estimate.All agreements contingent upon strikes,accidents
or delays beyond our control.Owner to carry fire, tornado and other necessary insurance. Note:This proposal may be
Our workers are fully covered by Workmen's Compensation Insurance withdrawn by us if not accepted within days.
s
�.Lr.. of Proposal—The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specified.Payment will be made as outlined above.
Signature
Date of Acceptance: //
FORM 119-3 COPYRIGHT 1960- Available from 1M1b./InC.,Groton.Mars 01450
'N I Page No. of � Pages
RINEHART CONSTRUCTION
1309 32nd Avenue
GREELEY, COLORADO 80631
Phone 352-3949
PR SAL SUB jNITT a S� ^ `!- PHONE DATE
tfR//(`•Ir�//..((`JIAJn./ CC '�4V7t/1�'4._i7sYr" A ^Q � p �
ST EE Jtv^i.'�" JOB NAME
�ot O /J au
CITY, STATE AND ZIP COD JOB LOCATION
,a
ARCHITECT g� / t DATE OF PLANS JOB PHONE
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rk
We hereby submit specifications and estimates for:
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Gi tWayne hereby to furnish material and labor — complete in accordance with above specifications, for the sum of:
dollars ($ )•
Payment to be made as follows:
All material Is guaranteed to be as specified. All work to be completed in a workmanlike Authorized / /( d�,=S
manner according x to standard ecexecues. Any alteration or deviation from above eicaI �
tions involving extra costs will be executed only upon written orders,and will become an Signature
extra charge over and above the estimate.All agreements contingent upon strikes,accidents
oNote:This proposal may be
ork beyond r our control. Owner to carry p, and other. necessary insurance. P p
Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days.
P,rrepttture of Prnpnzat—The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specified.Payment will be made as outlined above.
Signature
Date of Acceptance:
FORM 1183 COPYRIGHT 1980- Available roe, z /inc.Groton.Mass 01450
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